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成人囊性纤维化:当前及未来的管理策略

Cystic fibrosis in adults: current and future management strategies.

作者信息

Morrissey Brian M, Schock Bettina C, Marelich Gregory P, Cross Carroll E

机构信息

Adult Cystic Fibrosis Clinic and University of California Davis School of Medicine, Sacramento, CA, USA.

出版信息

Clin Rev Allergy Immunol. 2003 Dec;25(3):275-87. doi: 10.1385/CRIAI:25:3:275.

Abstract

Over 30,000 individuals in the United States of America are living with cystic fibrosis (CF). Despite incremental advances in care and understanding of its pathophysiology, CF remains a significantly life-limiting disease. Readily accessible newborn screening, genetic testing, and an improved awareness have increased the early recognition of CF, atypical presentations of CF, and the CF-related diseases. Improvements in medical management have led to continually improving life expectancy for patients with CF. Despite improved management strategies, severe lung disease remains the commonly life-limiting pathology. We review the pathophysiology, diagnosis, and management of the respiratory-tract manifestations of CF that represent the life-limiting aspects of the condition and summarize upcoming and possible future therapies for patients with CF.

摘要

美国有超过3万人患有囊性纤维化(CF)。尽管在对其病理生理学的护理和理解方面取得了渐进式进展,但CF仍然是一种严重限制生命的疾病。便捷的新生儿筛查、基因检测以及提高的认知度增加了对CF、CF的非典型表现以及CF相关疾病的早期识别。医疗管理的改善使CF患者的预期寿命不断提高。尽管管理策略有所改进,但严重的肺部疾病仍然是常见的限制生命的病理状况。我们回顾了CF呼吸道表现的病理生理学、诊断和管理,这些表现代表了该疾病限制生命的方面,并总结了CF患者即将到来的以及可能的未来治疗方法。

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